Chapter Event Space Request

Meeting/Function

Name of Meeting/Function

Day of Week

Date

Start Time

Start Time ranges from 6:00 am - 11:00 pm

Ending Time

Ending Time ranges from 6:00 am - 11:00 pm

Attendance

List in program and attendee’s schedule?

Seating Set-Up

Seating Set-Up Type

Please briefly explain set-up needed to assist in meeting space allocation

Food & Beverage

Type of Food & Beverage: Please check the type of service, if applicable. The caterer will work directly with you after ACEP assigns space. You will be responsible for working directly with the facility on all meeting planning arrangements once space is assigned by ACEP.

Breakfast Type

Lunch Type

Dinner Type

Reception Type

Coffee Type/Other Type

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Chapter Event Space Request

Company Information

Meeting/Function

Seating Set-Up

Food & Beverage